Rapha Provider Agency Llc

LBN: Rapha Provider Agency Llc
Rapha Provider Agency Llc is an health care organization with primary practice located at 1215 Gusdorf Rd Ste A , Taos NM 87571-6914. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Rapha Provider Agency Llc can be contacted via phone (575) 770-7139, or through Weathers, Christopher H via phone (575) 770-7139.

Contact Information

Primary practice address
1215 Gusdorf Rd Ste A Taos NM 87571-6914
Phone: (575) 770-7139
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Weathers, Christopher H Licensed Clinical Social Worker (LCSW)
Phone: (575) 770-7139

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1588200984
LBN Legal business name Rapha Provider Agency Llc
DBA Doing business as
Authorized official Weathers, Christopher H Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2019
Last updated Sep 18th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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